Banca de DEFESA: DEBORA FEITOSA DE FRANCA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : DEBORA FEITOSA DE FRANCA
DATA : 06/12/2016
HORA: 09:00
LOCAL: Departamento de Enfermagem da UFRN
TÍTULO:

ADVERSE EVENTS RELATED TO VENTILATORY THERAPY IN HIGH RISK NEWBORNS

PALAVRAS-CHAVES:

newborn, ventilatory therapy, adverse event, patient safety.

PÁGINAS: 100
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

In the last decades neonatal care has advanced due to the development of more effective measures for the control of respiratory insufficiency. However, the most frequent adverse events described in the literature are from ventilatory therapy, such as: mechanical ventilation pneumonia, unplanned extubation, pneumothorax and nasal septum injury. The present study aimed to analyze incidents related to respiratory therapy in high-risk newborns of a neonatal unit. It is an observational, longitudinal and prospective study carried out in a maternity unit, a reference unit in the State of Rio Grande do Norte for high-risk pregnancy and birth. The data were collected in the period from April to September 2016, after approval of the project in the Research Ethics Committee of UFRN with CAAE nº 51832415.0.0000.5537. The target population consisted of 82 newborns submitted to ventilatory therapy in the modalities: invasive mechanical ventilation, non-invasive mechanical ventilation and continuous positive airway pressure per prong nasal. The results show that the incidence of adverse events was 48.8%, most frequently unplanned extubation (34%), followed by nasal septum lesion (13%), mechanical ventilation pneumonia (7%) and Or pneumothorax (6%). Regarding the severity of the damage, most of them caused temporary damage requiring intervention or prolongation of hospitalization. The probability of occurrence of an adverse event in a neonate undergoing ventilatory therapy in the first five days of therapy exceeds 40%. There is an association between the gestational age range and the occurrence of adverse events. Newborns with gestational age less than 28 weeks are the most susceptible. The odds ratio for a newborn suffering an extreme gestational adverse event is 5.57 times greater than one term. The logistic regression results indicate an association between the congenital malformation and the occurrence of the adverse event in a general way and by type, specifically the unplanned extubation. Therefore, it is concluded that premature newborns with congenital malformations are vulnerable to the occurrence of adverse events related to ventilatory therapy. And, as an opportunity to improve care, it is recommended the construction and validation of protocols for the prevention of unplanned extubation, which meets the specificities of patients with congenital malformation, in addition to the minimum protocol for the management of extremely premature infants.

MEMBROS DA BANCA:
Externo à Instituição - INGRID MARTINS LEITE LÚCIO - UFAL
Presidente - 3168491 - NILBA LIMA DE SOUZA
Interno - 2379141 - RICHARDSON AUGUSTO ROSENDO DA SILVA